<?php include "header.php"; ?>

<form aname="formName" action="main.php?module=karyawan&process=insert" method="post" role="form" onsubmit="return validate();">
	<div class="form-group">
		<label for="">Nama Debitur</label>
		<select name="nama" class="form-control">
			<option value="kosong" class="form-control">Pilih</option>
		</select>
	</div>
	
	<div class="form-group">
		<label for="">Pemberi Order</label>
		<select name="nama" class="form-control">
			<option value="kosong" class="form-control">Pilih</option>
		</select>
	</div>
		
	<div class="form-group">
		<label for="">No.SHM</label>
		<input type="text" name="shm" class="form-control" />
	</div>
	
	<div class="form-group">
		<label for="">No.SHGB</label>
		<input type="text" name="shgb" class="form-control" />
	</div>
	
	<div class="form-group">
		<label for="">No.SHP</label>
		<input type="text" name="shp" class="form-control" />
	
	<div class="form-group">
		<label for="">Lokasi</label>
		<input type="text" name="lokasi" class="form-control" />
	</div>
	
	<div class="form-group">
		<label for="">Pemberkasan</label>
		<select name="nama" class="form-control">
			<option value="kosong" class="form-control">Pilih</option>
		</select>
	</div>

	<div class="form-group">
		<label for="">Input Data</label>
		<select name="nama" class="form-control">
			<option value="kosong" class="form-control">Pilih</option>
		</select>
		
	</div>
	<div class="form-group">
		<label for="">Bag.Lapangan</label>
		<select name="nama" class="form-control">
			<option value="kosong" class="form-control">Pilih</option>
		</select>
	</div>
	
	<div class="form-group">
		<label for="">Tanggal Masuk</label>
		<input type="text" name="tgl_in" class="form-control datepicker" />
	</div>
	
	<div class="form-group">
		<label>Tanggal Penyerahan</label>
		<input type="text" name="tgl_in" class="form-control datepicker" />
	</div>
	
	<div class="form-group">
		<label>Tanggal Selesai</label>
		<input type="text" name="tgl_in" class="form-control datepicker" />
	</div>
	
	<div class="form-group">
		<button type="submit" class="btn btn-primary">Simpan</button>
		<button type="reset" class="btn btn-danger">Reset</button>
	</div>
</form>
<!-- 
<h2>Data Pengurusan Berkas<h2>
<table width="600px" border = "1" cellpadding="5" cellpadding="0">
	<tr bgcolor ="#f2f2f2">
		<td>No. </td>
		<td>Nama</td>
		<td>Pemberi Order</td>
		<td>No.SHM</td>
		<td>No.SHGB</td>
		<td>No.SHP</td>
		<td>Lokasi</td>
		<td>Pemberkasan</td>
		<td>Input Data</td>
		<td>Bag.Lapangan</td>
		<td>Tgl.Masuk</td>
		<td>Tgl.Penyerahan</td>
		<td>Tgl.Selesai</td>
	</tr>
	

	
	
	
</table> -->

<?php include "footer.php" ?>